Abstract: Objective?To investigate the value ofdisposable laparoscopic protective cover in closed externaldecompression for intestinal obstruction.Methods?From May 2010 to Aug 2017,193 patients with intestinal obstruction were treated by externaldecompression.Among them,there were 32 cases underwent closed externaldecompression withdisposable laparoscopic protective cover as the trial group,and 161cases were taken conventional externaldecompression.The clinicaldata were reviewed retrospectively.In the trial group,there were 19 males and 13 females,with the average age of (58.45±17.97) years.The primarydiseases were 22 cases of large intestine tumor,6 cases of postoperative adhesion,3 cases of small intestine tumor,1case of small intestine twisting.The obstruction level was at the colorectal in 22 cases and at the small intestine in 10 cases.In the control group,there were 103 cases of male and 58 women,with an average age of (59.38±13.79) years.90 cases of large intestine tumor,43 cases of postoperative adhesion,4 cases of small intestinal tumor,4 cases of fecal obstruction,3 cases of small intestinal torsion and 4 cases of Crohn'sdisease,3 cases of intestinal tuberculosis,4 cases of inguinalhernia,3 cases of intrenteralhernia,1cases of splenic flexure syndrome,1cases of abdominal cocoon,1case of residual cyst of the ileocecal embryo.The obstruction level was at the colorectal in 91cases and at the small intestine in 70 cases.It was compared between the two groups of operation time,abdominal cavity infection and wound infection,lung infection,anastomotic leakage and complications of fistula.Results?There were 45 patients whose wounds and(or) abdomen were infected in the control group,while 3 patients whose wounds and(or) abdomen were infected in the observation group，and thedifference was statistically significant(P<0.05).Operation time of the trial group and the control group was (188.44 ± 37.27) vs.(176.71± 47.29),and the pulmonary infection rate was 6.25% (2/32) vs.10.56% (17/161).The anastomotic leakage rate after intestinal anastomosis was 3.12 %(1/32) vs.3.11% (5/161),and intestinal stoma complication rate was 0 vs.3.11% (5/161).There were no statisticaldifferences between the two groups (P>0.05).Conclusions?Usingdisposable laparoscopic protective cover can reduce the wound and(or) abdominal infection for patients with intestinal obstruction who need externaldecompression.
蔡权，宫毅，黄江生. 一次性腹腔镜保护套在肠梗阻封闭式肠外减压术中应用[J]. 中国现代手术学杂志, 2018, 22(1): 6-9.
CAI Quan. Application of Disposable Laparoscopic Protective Cover in Intestinal Obstruction Decompression Surgery. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 6-9.
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2018, Vol. 22 
